The Sports Pod | MS Application Form

Movement Specialist Application Form
Thank you for expressing your interest in the Movement Specialist position at The Sports Pod. Movement specialists are highly skilled therapists with backgrounds in Chiropractic Doctorate, Physical Therapy Doctorate, or Medical Doctorate. The application process is estimated to take approximately 20-25 minutes, and we encourage you to provide detailed responses. Our screening process is thorough as we aim to ensure the best fit for both you and The Sports Pod!
Position

Movement Specialist
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
What salary are you expecting from this position?
Work Experience

Tell us about your work experience! Be as detailed as possible. We'd prefer three different references, however if you only have 1 or 2, leave the rest blank. ****NOTICE*** If you are a student or just graduating student, we'd like you to put down your all of your Clinic Doctors first and any other work experience you might have had.
Company 1
Company (1)
The name of the company
Address (1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business (1)
Start Date (1)

MonthDayYear
Date
End Date (1)

MonthDayYear
Date
Title (1)
The title of your position at this company
Initial Compensation (1)
Final Compensation (1)
Responsibilities (1)
Please detail the responsibilities you had in your previous position.
Supervisor

Information on your supervisor from Company 1
Supervisor Name (1)

First NameLast Name
Supervisor Title (1)
Supervisor Email (1)
example@example.com
Supervisor Phone Number (1)
Please enter a valid phone number.
1. What (do)(did) you like most about your job?
1. What (do)(did) you least enjoy?
1. Reason for leaving or desired change?
1. Can we contact your Supervisor?
1. If 'No', why?
1. When we ask your supervisor to rate your performance at your job from 1-10, what score would they give you?

1

2

3

4

5

6

7

8

9

10

1 is Poor, 10 is Excellent
Company 2
Company 2
The name of the company
Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business (2)
Start Date (2)

MonthDayYear
Date
End Date (2)

MonthDayYear
Date
Title (2)
The title of your position at this company
Initial Compensation (2)
Final Compensation (2)
Responsibilities (2)
Please detail the responsibilities you had in your previous position.
Supervisor

Information on your supervisor from Company 2
Supervisor Name (2)

First NameLast Name
Supervisor Title (2)
Supervisor Email (2)
example@example.com
Supervisor Phone Number (2)
Please enter a valid phone number.
2. What (do)(did) you like most about your job?
2. What (do)(did) you least enjoy?
2. Reason for leaving or desired change?
2. Are we able to contact your Supervisor?
2. If 'No', why?
2. When we ask your supervisor to rate your performance at your job from 1-10, what score would they give you?

1

2

3

4

5

6

7

8

9

10

1 is Poor, 10 is Excellent
Company 3
Company 3
The name of the company
Address 3

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business (3)
Start Date (3)

MonthDayYear
Date
End Date (3)

MonthDayYear
Date
Title (3)
The title of your position at this company
Initial Compensation (3)
Final Compensation (3)
Responsibilities (3)
Please detail the responsibilities you had in your previous position.
Supervisor (3)

Information on your supervisor from Company 3
Supervisor Name (3)

First NameLast Name
Supervisor Title (3)
Supervisor Email (3)
example@example.com
Supervisor Phone Number (3)
Please enter a valid phone number.
3. What (do)(did) you like most about your job?
3. What (do)(did) you least enjoy?
3. Reason for leaving or desired change?
3. Are we able to contact your Supervisor?
3. If 'No', why?
3. When we ask your supervisor to rate your performance at your job from 1-10, what score would they give you?

1

2

3

4

5

6

7

8

9

10

1 is Poor, 10 is Excellent
Movement Specialist Application Form
Soft Tissue Experience

1

2

3

4

5

1 is New, 5 is Experienced
How would you rate your understanding of rehab?

1

2

3

4

5

1 is Not good, 5 is Excellent
How well are you at receiving constructive criticism

1

2

3

4

5

1 is Not Well, 5 is Constantly seeking Feedback
What are you certified in? (Choose all that apply)

Active Release TherapyTraditional Chinese Medicine AcupunctureDry NeedlingOther
If 'Other' (certifications)
What kind of practice are you looking for?

Straight Subluxation Based PracticeJust RehabSoft Tissue + Rehab + ChiropracticSoft Tissue + Rehab + Needling + ChiropracticOther
If 'other" please explain (practice)
What work expectations do you have in your next role?
What Questions do you have for us at The Sports Pod?
Cultural Index

You're in the home stretch! We kindly request fill out this final survey as we are eager to gain further insights into how you would fit into our team. Please take a moment to complete the survey and share your valuable feedback. Thank you for your time and cooperation!
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Movement Specialist Application Form

Work Experience

Company 1

Supervisor

Company 2

Supervisor

Company 3

Supervisor (3)

Movement Specialist Application Form

Cultural Index